NPI | 1437274719 |
---|---|
Entity Type | Organization |
Authorized Contact | SEBASTIAN J CASTELLANO Owner Dentist 813-878-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12587) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |